Mr. Kenneth Lee Russell, NAVY SOIDC - Camp Lejeune, NC

Mr. Kenneth Lee Russell, NAVYSOIDC

Independent Duty Corpsman in Camp Lejeune, North Carolina

NPI 1639661192

Kenneth Lee Russell is a Independent Duty Corpsman based in Sneads Ferry, NC and is specialized in Independent Duty Corpsman. Kenneth Lee Russell practices in Camp Lejeune, NC and has the professional credentials of NAVYSOIDC. The NPI Number for Kenneth Lee Russell is 1639661192 and holds a License No. (North Carolina).

The current practice location address for Kenneth Lee Russell is 3D Marine Raider Battalion, Camp Lejeune, NC and can be reached out via phone at 360-808-1590.

Location: 3D Marine Raider Battalion, Camp Lejeune, NC, 28460-0080

NPI Number

1639661192

Provider Name

Kenneth Lee Russell

Credential

NAVYSOIDC

Provider Entity Type

Individual

Gender

Male

Address

3D Marine Raider Battalion, Camp Lejeune, NC, 28460-0080

Phone Number

360-808-1590

Fax Number

Provider Enumeration Date

05/31/2018

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
1391428740	01		NAVY/DOD

Address

3D Marine Raider Battalion

City

Camp Lejeune

State

North Carolina

Zip

28546

Phone Number

360-808-1590

Fax Number

Address

3D Marine Raider Battalion

City

Camp Lejeune

State

North Carolina

Zip

28546

Phone Number

360-808-1590

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Corpsman

Taxonomy

1710I1002X

License No.

()

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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